Individual
DEBRA SUE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
1028 BERRY AVE APT 106, TOMAH, WI 54660-3402
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126328-30
WI
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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